Active NPIOrganization

Fair Lawn Medical Attention Center PA

Clinic/Center, Urgent Care in Fair Lawn, New Jersey

NPI Number1154568335
Practice location
15-01 Broadway Suite #12, Fair Lawn Medical Attention Center, Fair Lawn, NJ 07410
Fax
201-794-3622
Last updated
September 12, 2012

Fair Lawn Medical Attention Center PA is a healthcare organization based in Fair Lawn, NJ. Fair Lawn Medical Attention Center PA practices in Fair Lawn, NJ. The NPI Number for Fair Lawn Medical Attention Center PA is 1154568335 and holds a License No. 25MA04901700 (NJ). The current practice location address for Fair Lawn Medical Attention Center PA is 15-01 Broadway Suite #12, Fair Lawn Medical Attention Center, Fair Lawn, NJ 07410 and can be reached out via phone at 201-794-3600 and via fax at 201-794-3622.

Provider Profile Details

NPI Number
1154568335
Provider Name
Fair Lawn Medical Attention Center PA
Provider Entity Type
Organization
Address
15-01 Broadway Suite #12, Fair Lawn Medical Attention Center, Fair Lawn, NJ 07410
Phone Number
201-794-3600
Fax Number
201-794-3622
Primary Taxonomy
Clinic/Center, Urgent Care · 261QU0200X
Organization Subpart
No
Authorized Official
Dr. Daivd Roman, MD · Medical Director · 201-794-3600
Provider Enumeration Date
January 9, 2009
Last Update Date
September 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Broadway Suite #12
Fair Lawn Medical Attention Center
Fair Lawn, NJ 07410
Zip
07410
Phone Number
201-794-3600
Fax Number
201-794-3622
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
15-01 Broadway Suite #12
Fair Lawn Medical Attention Center
Fair Lawn, NJ 07410
City
Fair Lawn
State
NJ
Zip
07410
Phone Number
201-794-3600
Fax Number
201-794-3622

License Information

License Number
25MA04901700
License State
NJ
Taxonomy
Clinic/Center, Urgent Care · 261QU0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fair Lawn Medical Attention Center PA?

The NPI number of Fair Lawn Medical Attention Center PA is 1154568335. It was assigned on January 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Fair Lawn Medical Attention Center PA?

Fair Lawn Medical Attention Center PA is registered under the primary taxonomy Clinic/Center, Urgent Care (code 261QU0200X), licensed in NJ under license number 25MA04901700.

Where does Fair Lawn Medical Attention Center PA practice?

The practice location is 15-01 Broadway Suite #12, Fair Lawn Medical Attention Center, Fair Lawn, NJ 07410. The office can be reached at 201-794-3600 (phone) or 201-794-3622 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154568335 directly on the NPPES registry website.

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